Online Adult New Patient Registration

To register a new patient you will need to live within our practice boundary. We do not accept registrations outside of this boundary.

Please attach one of each of the following forms of identification and proof of address to this form:

Proof of Identity:

  • Passport
  • Driving Licence
  • Birth Certificate
  • Marriage Certificate

Proof of Address:

  • Utility Bill
  • Council Tax Statement
  • Bank Statement

The registration process should take between 5 and 7 days, but please appreciate this may take longer during busy periods.

If there are any problems with this, our registration team will be in touch. If you have any further questions, please do not hesitate to contact the practice via our website or call us on 01536 481734 after 14:00.

Adult New Patient Registration

Patient's Details

Title *
Please use this date format: DD/MM/YYYY.
Gender at birth: *
Is your gender different now from the gender you had at birth? *
Gender now: *

If you are from abroad

Registering with the NHS for the first time in the UK
Please use this date format: DD/MM/YYYY.

Any responses we send will go to this email address.
Please include postcode.

It is your responsibility to keep us updated with any changes to your telephone number, email and postal address. We may contact you with appointment details, test results etc.

Can we contact you by text?
Can we contact you by email?

Ethnicity

Please specify the ethnic group you consider you belong to:
Do you speak English?
Do you read English?

Emergency Contact

Are they your next of kin?
Do you give us permission to discuss your medical records with them?
Are they registered at Linden?

Next of Kin

Are they registered at Linden?

If you are returning from abroad

Previously been registered with the NHS in the UK
Please use this date format: DD/MM/YYYY.
Please use this date format: DD/MM/YYYY.